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胰岛素抵抗影响多囊卵巢综合征的中枢阿片活性。

Insulin resistance influences central opioid activity in polycystic ovary syndrome.

机构信息

Molecular and Behavioral Neuroscience Institute, University of Michigan, Ann Arbor, Michigan, USA.

出版信息

Fertil Steril. 2011 Jun 30;95(8):2494-8. doi: 10.1016/j.fertnstert.2011.03.031. Epub 2011 Apr 12.

Abstract

This pilot study describes a relationship between insulin resistance and μ-opioid neurotransmission in limbic appetite and mood-regulating regions in women with polycystic ovary syndrome (PCOS), suggesting that insulin-opioid interactions may contribute to behavioral and reproductive pathologies of PCOS. We found that [1] patients with PCOS who are insulin-resistant (n = 7) had greater limbic μ-opioid receptor availability (nondisplaceable binding potential) than controls (n = 5); [2] receptor availability was correlated with severity of insulin resistance; and [3] receptor availability normalized after insulin-regulating treatment.

摘要

这项初步研究描述了胰岛素抵抗与多囊卵巢综合征(PCOS)女性边缘食欲和情绪调节区域的μ-阿片类神经递质传递之间的关系,表明胰岛素-阿片类相互作用可能导致 PCOS 的行为和生殖病理。我们发现,[1]胰岛素抵抗的 PCOS 患者(n = 7)比对照组(n = 5)具有更高的边缘μ-阿片受体可利用性(不可置换结合潜能);[2]受体可利用性与胰岛素抵抗的严重程度相关;[3]在胰岛素调节治疗后,受体可利用性恢复正常。

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本文引用的文献

1
Prevalence of psychiatric disorders in patients with polycystic ovary syndrome.多囊卵巢综合征患者精神障碍的患病率。
Compr Psychiatry. 2010 Nov-Dec;51(6):599-602. doi: 10.1016/j.comppsych.2010.02.009. Epub 2010 Mar 29.
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Diabetes and depression: global perspectives.糖尿病与抑郁症:全球视角。
Diabetes Res Clin Pract. 2010 Mar;87(3):302-12. doi: 10.1016/j.diabres.2010.01.024. Epub 2010 Feb 23.
10
Follicle dynamics and anovulation in polycystic ovary syndrome.多囊卵巢综合征中的卵泡动力学与无排卵
Hum Reprod Update. 2008 Jul-Aug;14(4):367-78. doi: 10.1093/humupd/dmn015. Epub 2008 May 22.

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